Provider Demographics
NPI:1194864884
Name:MOLINA, LUZ (DMD,MS)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:
Last Name:MOLINA
Suffix:
Gender:F
Credentials:DMD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8924 E PINNACLE PEAK RD STE G5-454
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3618
Mailing Address - Country:US
Mailing Address - Phone:775-336-8545
Mailing Address - Fax:
Practice Address - Street 1:8924 E PINNACLE PEAK RD STE G5-454
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3618
Practice Address - Country:US
Practice Address - Phone:775-336-8545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV29861223P0221X
AZD0115841223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry